Provider Demographics
NPI:1376664631
Name:COOSA COUNTY
Entity Type:Organization
Organization Name:COOSA COUNTY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SUPERINTENDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:TODD
Authorized Official - Middle Name:O
Authorized Official - Last Name:WINGARD
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:256-377-4913
Mailing Address - Street 1:PO BOX 37
Mailing Address - Street 2:
Mailing Address - City:ROCKFORD
Mailing Address - State:AL
Mailing Address - Zip Code:35136-0037
Mailing Address - Country:US
Mailing Address - Phone:256-377-4913
Mailing Address - Fax:
Practice Address - Street 1:2001 NIXBURG ROAD
Practice Address - Street 2:
Practice Address - City:ROCKFORD
Practice Address - State:AL
Practice Address - Zip Code:35136
Practice Address - Country:US
Practice Address - Phone:256-377-4913
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-04-03
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251300000XAgenciesLocal Education Agency (LEA)